{"id":486,"date":"2026-10-12T12:12:19","date_gmt":"2026-10-12T05:12:19","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/chan-thuong-dung-dap-mong-tay-va-tu-mau-duoi-mong-khi-nao-can-xu-tri\/"},"modified":"2026-10-12T12:12:19","modified_gmt":"2026-10-12T05:12:19","slug":"chan-thuong-dung-dap-mong-tay-va-tu-mau-duoi-mong-khi-nao-can-xu-tri","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/12\/chan-thuong-dung-dap-mong-tay-va-tu-mau-duoi-mong-khi-nao-can-xu-tri\/","title":{"rendered":"Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp m\u00f3ng tay v\u00e0 t\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng: khi n\u00e0o c\u1ea7n x\u1eed tr\u00ed?"},"content":{"rendered":"

Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp m\u00f3ng tay<\/strong> c\u00f3 th\u1ec3 ch\u1ec9 g\u00e2y \u0111au v\u00e0 b\u1ea7m t\u00edm, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng, r\u00e1ch gi\u01b0\u1eddng m\u00f3ng ho\u1eb7c \u0111i k\u00e8m g\u00e3y \u0111\u1ed1t xa ng\u00f3n tay. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 kh\u00f4ng n\u00ean ch\u1ec9 d\u1ef1a v\u00e0o m\u00e0u s\u1eafc c\u1ee7a m\u00f3ng; t\u00ecnh tr\u1ea1ng b\u1edd m\u00f3ng, m\u1ee9c \u0111\u1ed9 \u0111au v\u00e0 d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m c\u0169ng r\u1ea5t quan tr\u1ecdng.<\/p>\n

Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp m\u00f3ng tay v\u00e0 t\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng l\u00e0 g\u00ec?<\/h2>\n

T\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e1u t\u1eadp trung b\u00ean d\u01b0\u1edbi b\u1ea3n m\u00f3ng, th\u01b0\u1eddng x\u1ea3y ra sau ch\u1ea5n th\u01b0\u01a1ng [2]. Sau va \u0111\u1eadp ho\u1eb7c k\u1eb9t ng\u00f3n tay, m\u00e1u c\u00f3 th\u1ec3 t\u1ea1o v\u00f9ng \u0111\u1ecf s\u1eabm, t\u00edm ho\u1eb7c \u0111en d\u01b0\u1edbi m\u00f3ng, k\u00e8m c\u1ea3m gi\u00e1c \u0111au do \u00e1p l\u1ef1c. Tuy nhi\u00ean, t\u1ed5n th\u01b0\u01a1ng nh\u00ecn th\u1ea5y tr\u00ean m\u00f3ng kh\u00f4ng ph\u1ea3n \u00e1nh \u0111\u1ea7y \u0111\u1ee7 m\u1ee9c \u0111\u1ed9 ch\u1ea5n th\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi.<\/p>\n

\u1ede tr\u1ebb em, t\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng chi\u1ebfm h\u01a1n 50% b\u1ea3n m\u00f3ng l\u00e0m t\u0103ng nghi ng\u1edd c\u00f3 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng h\u1edf v\u00e0 r\u00e1ch gi\u01b0\u1eddng m\u00f3ng b\u1ecb di l\u1ec7ch [4]. C\u00e1c g\u00e3y \u0111\u1ed1t xa \u1edf tr\u1ebb c\u0169ng th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn r\u00e1ch gi\u01b0\u1eddng m\u00f3ng [4]. V\u00ec v\u1eady, ch\u1ea5n th\u01b0\u01a1ng t\u01b0\u1edfng nh\u01b0 ch\u1ec9 \u1edf m\u00f3ng v\u1eabn c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean y t\u1ebf ki\u1ec3m tra k\u1ef9.<\/p>\n

Khi n\u00e0o c\u00f3 th\u1ec3 theo d\u00f5i v\u00e0 khi n\u00e0o c\u1ea7n kh\u00e1m?<\/h2>\n

V\u1edbi t\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng nh\u01b0ng b\u1edd m\u00f3ng c\u00f2n nguy\u00ean v\u1eb9n<\/strong>, t\u00e0i li\u1ec7u chuy\u00ean ng\u00e0nh m\u00f4 t\u1ea3 hai h\u01b0\u1edbng th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc l\u00e0 theo d\u00f5i ho\u1eb7c t\u1ea1o l\u1ed7 tho\u00e1t m\u00e1u, t\u00f9y v\u00e0o m\u1ee9c \u0111\u1ed9 \u0111au v\u00e0 th\u1eddi \u0111i\u1ec3m ch\u1ea5n th\u01b0\u01a1ng [1]. \u0110i\u1ec1u n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a m\u1ecdi tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u c\u1ea7n ch\u1ecdc th\u00e1o m\u00e1u; l\u1ef1a ch\u1ecdn ph\u1ee5 thu\u1ed9c v\u00e0o kh\u00e1m tr\u1ef1c ti\u1ebfp v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111i k\u00e8m.<\/p>\n

N\u00ean \u0111i kh\u00e1m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 gi\u01b0\u1eddng m\u00f3ng v\u00e0 x\u01b0\u01a1ng \u0111\u1ed1t xa khi c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u d\u1ea5u hi\u1ec7u sau:<\/p>\n

    \n
  • \u0110au nhi\u1ec1u ho\u1eb7c c\u1ea3m gi\u00e1c c\u0103ng t\u1ee9c r\u00f5 d\u01b0\u1edbi m\u00f3ng.<\/li>\n
  • T\u1ee5 m\u00e1u chi\u1ebfm ph\u1ea7n l\u1edbn b\u1ea3n m\u00f3ng, \u0111\u1eb7c bi\u1ec7t trong b\u1ed1i c\u1ea3nh ch\u1ea5n th\u01b0\u01a1ng \u1edf tr\u1ebb em [3].<\/li>\n
  • B\u1edd m\u00f3ng b\u1ecb b\u1eadt, m\u1ea5t \u1ed5n \u0111\u1ecbnh ho\u1eb7c m\u00f3ng b\u1ecb l\u1ec7ch kh\u1ecfi v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng [1].<\/li>\n
  • C\u00f3 v\u1ebft r\u00e1ch, d\u1eadp n\u00e1t ph\u1ea7n m\u1ec1m quanh \u0111\u1ea7u ng\u00f3n ho\u1eb7c nghi ng\u1edd r\u00e1ch gi\u01b0\u1eddng m\u00f3ng.<\/li>\n
  • Ng\u00f3n tay bi\u1ebfn d\u1ea1ng, kh\u00f3 c\u1eed \u0111\u1ed9ng ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng do l\u1ef1c nghi\u1ec1n, k\u1eb9t c\u1eeda hay v\u1eadt n\u1eb7ng.<\/li>\n<\/ul>\n

    \u0110i\u1ec1u tr\u1ecb t\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

    Gi\u1ea3i \u00e1p qua b\u1ea3n m\u00f3ng<\/h3>\n

    Khi b\u1edd m\u00f3ng c\u00f2n nguy\u00ean, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc t\u1ea1o m\u1ed9t l\u1ed7 nh\u1ecf tr\u00ean b\u1ea3n m\u00f3ng \u0111\u1ec3 m\u00e1u tho\u00e1t ra. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 g\u1ed3m d\u00f9ng kim v\u00f4 khu\u1ea9n, d\u1ee5ng c\u1ee5 \u0111\u1ed1t \u0111i\u1ec7n ho\u1eb7c k\u1eb9p gi\u1ea5y \u0111\u01b0\u1ee3c l\u00e0m n\u00f3ng [1][3]. \u0110\u00f4i khi c\u1ea7n h\u01a1n m\u1ed9t l\u1ed7 \u0111\u1ec3 duy tr\u00ec d\u1eabn l\u01b0u \u0111\u1ea7y \u0111\u1ee7 [1].<\/p>\n

    \u0110\u00e2y l\u00e0 th\u1ee7 thu\u1eadt c\u1ea7n ki\u1ec3m so\u00e1t \u0111\u1ed9 s\u00e2u. T\u00e0i li\u1ec7u c\u1ea3nh b\u00e1o nhi\u1ec7t ho\u1eb7c \u0111\u01b0a d\u1ee5ng c\u1ee5 qu\u00e1 s\u00e2u c\u00f3 th\u1ec3 g\u00e2y th\u00eam t\u1ed5n th\u01b0\u01a1ng gi\u01b0\u1eddng m\u00f3ng [3]. \u1ede tr\u1ebb em, hi\u1ec7u qu\u1ea3 c\u1ee7a th\u1ee7 thu\u1eadt gi\u1ea3m sau kho\u1ea3ng 12\u201324 gi\u1edd v\u00ec m\u00e1u b\u1eaft \u0111\u1ea7u \u0111\u00f4ng l\u1ea1i [3]. V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean t\u1ef1 ch\u1ecdc m\u00f3ng b\u1eb1ng kim, ghim ho\u1eb7c v\u1eadt n\u00f3ng t\u1ea1i nh\u00e0.<\/p>\n

    Th\u00e1o m\u00f3ng v\u00e0 s\u1eeda gi\u01b0\u1eddng m\u00f3ng<\/h3>\n

    N\u1ebfu t\u1ee5 m\u00e1u \u0111i k\u00e8m b\u1edd m\u00f3ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh<\/strong>, t\u00e0i li\u1ec7u khuy\u1ebfn ngh\u1ecb th\u00e1o b\u1ea3n m\u00f3ng, th\u0103m d\u00f2 v\u00e0 s\u1eeda ch\u1eefa gi\u01b0\u1eddng m\u00f3ng nh\u1eb1m h\u1ea1n ch\u1ebf nguy c\u01a1 \u1ea3nh h\u01b0\u1edfng th\u1ea9m m\u1ef9 v\u00e0 ch\u1ee9c n\u0103ng v\u1ec1 sau [1]. Nh\u1eefng v\u1ebft r\u00e1ch \u0111\u00e1ng k\u1ec3 \u1edf gi\u01b0\u1eddng m\u00f3ng c\u1ea7n \u0111\u01b0\u1ee3c r\u1eeda, l\u00e0m s\u1ea1ch m\u00f4 t\u1ed5n th\u01b0\u01a1ng v\u00e0 kh\u00e2u s\u1eeda ch\u1eefa \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn d\u1ea1ng m\u00f3ng v\u00e0 vi\u00eam x\u01b0\u01a1ng t\u1ee7y [4].<\/p>\n

    Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n s\u1eeda ch\u1eefa, b\u1ea3n m\u00f3ng c\u0169 ho\u1eb7c v\u1eadt li\u1ec7u thay th\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u1ea1i \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 gi\u01b0\u1eddng m\u00f3ng v\u00e0 h\u1ea1n ch\u1ebf d\u00ednh gi\u1eefa n\u1ebfp m\u00f3ng g\u1ea7n v\u1edbi v\u00f9ng t\u1ea1o m\u00f3ng [1][5]. Vi\u1ec7c n\u00e0y l\u00e0 th\u1ee7 thu\u1eadt chuy\u00ean m\u00f4n, kh\u00f4ng n\u00ean t\u1ef1 th\u00e1o m\u00f3ng ho\u1eb7c c\u1ed1 \u0111\u1eb7t v\u1eadt li\u1ec7u v\u00e0o d\u01b0\u1edbi n\u1ebfp m\u00f3ng.<\/p>\n

    Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n l\u01b0u \u00fd g\u00ec sau ch\u1ea5n th\u01b0\u01a1ng?<\/h2>\n
      \n
    • Kh\u00f4ng t\u1ef1 t\u1ea1o l\u1ed7 tho\u00e1t m\u00e1u b\u1eb1ng v\u1eadt nh\u1ecdn ho\u1eb7c v\u1eadt n\u00f3ng.<\/li>\n
    • Kh\u00f4ng t\u1ef1 b\u00f3c b\u1ea3n m\u00f3ng khi ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng gi\u01b0\u1eddng m\u00f3ng.<\/li>\n
    • N\u1ebfu \u0111au t\u0103ng, m\u00f3ng b\u1eadt ho\u1eb7c xu\u1ea5t hi\u1ec7n v\u1ebft r\u00e1ch, n\u00ean \u0111i kh\u00e1m thay v\u00ec ch\u1ec9 theo d\u00f5i m\u00e0u s\u1eafc m\u00f3ng.<\/li>\n
    • \u1ede tr\u1ebb em, c\u1ea7n \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd kh\u1ea3 n\u0103ng g\u00e3y \u0111\u1ed1t xa ho\u1eb7c r\u00e1ch gi\u01b0\u1eddng m\u00f3ng khi t\u1ee5 m\u00e1u l\u1edbn ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng do nghi\u1ec1n [4][5].<\/li>\n<\/ul>\n

      K\u1ebft lu\u1eadn<\/h2>\n

      T\u1ee5 m\u00e1u d\u01b0\u1edbi m\u00f3ng sau \u0111\u1ee5ng d\u1eadp c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c theo d\u00f5i trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1edd m\u00f3ng c\u00f2n nguy\u00ean v\u00e0 tri\u1ec7u ch\u1ee9ng nh\u1eb9. Khi \u0111au nhi\u1ec1u, t\u1ee5 m\u00e1u l\u1edbn, b\u1edd m\u00f3ng m\u1ea5t \u1ed5n \u0111\u1ecbnh ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u r\u00e1ch gi\u01b0\u1eddng m\u00f3ng, ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u01b0\u1ee3c kh\u00e1m \u0111\u1ec3 c\u00e2n nh\u1eafc gi\u1ea3i \u00e1p, ch\u1ee5p \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng v\u00e0 s\u1eeda ch\u1eefa ph\u1ea7n m\u1ec1m. C\u00e1c t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c cung c\u1ea5p t\u1eadp trung v\u00e0o nh\u1eadn di\u1ec7n v\u00e0 x\u1eed tr\u00ed chuy\u00ean m\u00f4n; ch\u00fang kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn chi ti\u1ebft ch\u0103m s\u00f3c t\u1ea1i nh\u00e0, thu\u1ed1c gi\u1ea3m \u0111au ho\u1eb7c l\u1ecbch t\u00e1i kh\u00e1m cho t\u1eebng ng\u01b0\u1eddi.<\/p>\n

      T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
        \n
      • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 4984<\/li>\n
      • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 4985<\/li>\n
      • [3] Rockwood and Green's Fractures in Children, 9th Edition, 2020, trang 293<\/li>\n
      • [4] Rockwood and Green's Fractures in Children, 9th Edition, 2020, trang 292<\/li>\n
      • [5] Rockwood and Green's Fractures in Children, 9th Edition, 2020, trang 293<\/li>\n<\/ul>\n

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